DSA下双腔气囊导管加压注射输卵管再通术37例分析

Analysis of fallopian tube recanalization in 37 cases with Foley catheter infusion under pressure through DSA

目的 探讨简捷、安全和有效的输卵管再通治疗方法。方法 采用ＤＳＡ 下双腔气囊导管（Ｆｏｌｅｙ ｃａｔｈｅｔｅｒ） 加压注射输卵管再通术治疗输卵管阻塞性不孕３７ 例（ 原发性不孕１７ 例和继发性不孕２０ 例，平均不孕期４ 年） 。３７ 例中行１ 次治疗１８ 例、２ 次治疗１６ 例和３ 次治疗３ 例。结果 输卵管再通成功９５ ％（３５／３７ 例）、失败和不满意各１ 例。多次治疗者盆腔粘连减轻者占７９ ％ （１５／１９ 例） 、相仿１６ ％（３／１９ 例） 和加重５％ （１／１９ 例）。结论 本法具有操作简单、材料便宜、安全有效和接受Ｘ 线照射时间短的特点。我们认为输卵管再通后盆腔粘连仍然是不孕的主要原因，应采取不同的方法解决。

Objective To investigate the safe, effective, simple and direct method in the recanalization of fallopian tubal obstruction. Methods Fallopian tubal obstructive infertility in 37 cases were recanalized with Foley catheter under pressure infusion through DSA, including primary infertility in 17 cases and se condary infertility in 20 cases. The average infertility term was 4 years. Results In the 37 cases, 18 cases were treated once, twice in 16 cases, and thrice in 3 cases. The oviduct recanalization rate was 95%(35/37) with one failure and another unsatisfactory. After several times of recanalization in 19 cases, the pelvic cavity adhesion were reduced in 15 cases (79%), no change in 3 cases (16%), and aggravated in one case (5%). Conclusions This method is simple, cheap, safety, effective and low in X ray exposure. We insist on the pelvic cavity adhesion is still the chief cause of infertility after recanalization and still need other kind of treatment.